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Found 17 results
  1. Content Article
    Sharing his own personal experiences of harm, Richard highlights four routes where patients and families can report patient safety incidents to ensure patients' voices can be heard and, most importantly, acted upon.
  2. News Article
    A trust failed to identify risks associated with a helipad in one of its car parks, contributing to the death of an elderly woman who was blown over as a heavy search and rescue helicopter came into land. The Air Accident Investigations Branch found multiple factors contributed to 87-year-old Jean Langan’s death at Derriford Hospital in Plymouth in March 2022. Ms Langan was on her way to an appointment when she was blown over and another person seriously injured. Crispin Orr, chief inspector of air accidents, said: “Our in-depth investigation revealed systemic safety issues around the design and operation of hospital helicopter landing sites which need to be addressed at a national level.” Read full story (paywalled) Source: HSJ, 2 November 2023
  3. News Article
    The death of a retired police officer who got his head trapped in a hospital bed was an avoidable accident, an inquest has concluded. Max Dingle, 83, of Newtown, Powys, died after he became stuck between the rails and mattress at the Royal Shrewsbury Hospital on 3 May 2020. The initial post-mortem test gave the cause of death as heart disease. But a second examination, commissioned by Mr Dingle's son, found entrapment and asphyxiation to be the cause. After comparing and discussing their findings, both pathologists then agreed "entrapment did play a significant part in the cause of death", the senior coroner for Shropshire John Ellery said. The inquest was told Mr Dingle's son Phil had asked for the second post-mortem test because "did not accept" the initial findings and had sought the opinion of a pathologist in Australia, where he lives. Max Dingle, who had been admitted to the hospital with shortness of breath, died 15 minutes after he was found to be trapped, the hearing was told. Concluding the inquest, Mr Ellery said: "Based on all the evidence, the conclusions of this inquest are Mr Dingle's death was an avoidable accident." Read full story Source: BBC News, 1 June 2022
  4. News Article
    The daughter of a man with dementia who died after being pushed by another patient in a care facility, has said her family has been let down by authorities. John O'Reilly died a week after sustaining a head injury at a dementia care unit in County Armagh. The 83-year-old was pushed twice by the same patient in the days leading up to the fatal incident. His family were not made aware of this until after his death. On 4 December 2018, Mr O'Reilly was pushed by another dementia patient causing him to hit his head off a wall. His family have said he was pushed with such force that it left a dent in the wall. He was admitted to Craigavon Area Hospital with severe head injuries and died a week later. Last week, an inquest heard that the dementia patient who pushed Mr O'Reilly had a history of aggressive behaviour linked to dementia. The Southern Trust is carrying out as Serious Adverse Incident (SAI) investigation into Mr O'Reilly's death. Maureen McGleenon said: "Our experience of the SAI process has been dreadful. In our view it allows the trust to park the fact that something catastrophic has happened to a family. We were told it would be a 12-week process. It's over a year now and we've expended so much energy trying to figure out this process and find things out for ourselves." She added: "The system just knocks you down and makes you want to give up." "We'll never get over what happened to dad and we can't give up on trying to understand it." Read full story Source: BBC News, 20 January 2020
  5. Content Article
    Throughout Jens Rasmussen’s career there has been a continued emphasis on the development of methods, techniques and tools for accident analysis and investigation. In this paper, Waterson et al. focus on the evolution and development of one specific example, namely Accimaps and their use for accident analysis.
  6. Content Article
    This book examines the concept of medical narcissism and how error disclosure to patients and families is often compromised by the health professional’s need to preserve his or her self-esteem at the cost of honouring the patient’s right to the unvarnished truth about what has happened. This ground-breaking book explores common psychological reactions of healthcare professionals to the commission of a serious harm-causing error and the variety of obstacles that can compromise ethically sound, truthful disclosure.
  7. Content Article
    In order to obtain compensation for harm arising out of medical treatment received within the NHS in Scotland, the elements needed to establish negligence under the law of delict must be satisfied. The Scottish government has expressed the view that a no-fault compensation scheme in relation to clinical negligence claims made against the NHS in Scotland could be simpler than the existing litigation system and could support the development of the concept of a mutual NHS, as well as a positive feedback and learning culture. With this in mind, the government considers that such a scheme is the favoured way forward for the NHS in Scotland. This report reviews and analyses existing no-fault schemes in a number of countries/jurisdictions: New Zealand (NZ); Nordic countries (Sweden, Finland, Denmark, Norway); and the schemes operating in Virginia and Florida (United States) for birth-related neurological injury.
  8. Content Article
    A joint National Patient Safety Alert issued by the NHS England and NHS Improvement National Patient Safety Team and Royal College of Emergency Medicine, on the need for urgent assessment/treatment following ingestion of ‘super strong’ magnets.
  9. News Article
    An online trend that involves using tiny magnets as fake tongue piercings has led the NHS to call for them to be banned amid people swallowing them. Ingesting more than one of them can be life-threatening and cause significant damage within hours. In England, 65 children have required urgent surgery after swallowing magnets in the last three years. The NHS issued a patient safety alert earlier this month and is now calling for the small metal balls to be banned. It said the "neodymium or 'super strong' rare-earth magnets are sold as toys, decorative items and fake piercings, and are becoming increasingly popular". It added that unlike traditional ones, "these 'super strong' magnets are small in volume but powerful in magnetism and easily swallowed". The online trend sees people placing two such magnets on either side of their tongue to create the illusion that the supposed piercing is real. But when accidentally swallowed, the small magnetic ball bearings are forced together in the intestines or bowels, squeezing the tissue so that the blood supply is cut off. Read full story Source: BBC News, 30 May 2021
  10. Content Article
    Our home is a place where we spend so much more time. However, this is one place where there may be fewer safeguards and less protection from the risks of serious injury, especially to young children. Preventable accidental injury remains a leading cause of death and acquired disability for children in the UK. Moreover, it affects deprived children more. Hospital admission rates from unintentional injuries among the under-fives are significantly higher for children from the most deprived areas compared with those from the least deprived. This short article from Ian Evans highlights what healthcare professionals working with children and families need to know about accidents and accident prevention in a higher income setting.
  11. Content Article
    Accidents at work and occupational diseases are neither predetermined nor unavoidable – they always have causes. By building a strong prevention culture, these causes can be eliminated and work related accidents, harm and occupational diseases be prevented. 'Vision Zero' is a transformational approach to prevention that integrates the three dimensions of safety, health and well-being at all levels of work. Safe and healthy working conditions are not only a legal and moral obligation – they also pay off economically. International research on the return on investments in prevention proves that every dollar invested in safety and health generates a potential benefit of more than two dollars in positive economic effects. Healthy working conditions contribute to healthy business. The International Social Security Association (ISSA)'s Vision Zero concept is flexible and can be adjusted to the specific safety, health or well-being priorities for prevention in any given context. Thanks to this flexibility, Vision Zero is beneficial to any workplace, enterprise or industry in all regions of the world. The Vision Zero campaign has energised companies and organisations worldwide with the ambition to strive towards a world of work without accidents and illness. Behind every organization stand extraordinarily engaged people, and on these pages we give them visibility.  Vision Zero ambassadors are outstanding individuals from the world of politics, science and sports who are engaged in safety, health and wellbeing. The ISSA has developed a range of resources to support the Vision Zero Campaign and the seven golden rules of Vision Zero.
  12. Content Article
    Accidents at work and occupational diseases are neither determined by fate nor unavoidable – they always have causes. By building a strong prevention culture, these causes can be eliminated and work related accidents, harm and occupational diseases be prevented. 'Vision Zero' is a transformational approach to prevention that integrates the three dimensions of safety, health and well-being at all levels of work. The International Social Security Association (ISSA) Vision Zero concept is flexible and can be adjusted to the specific safety, health or well-being priorities for prevention in any given context. Thanks to this flexibility, Vision Zero is beneficial to any workplace, enterprise or industry in all regions of the world. 
  13. Content Article
    From 1 April 2009 to 31 March 2019, NHS Resolution was notifed of 4,733 claims relating to manual handling. NHS Resolution has produced a 'Did you know' guide on manual handling.
  14. Content Article
    The human element can give us kindness and compassion; it can also give us what we don't want — mistakes and failure. Leilani Schweitzer's son died after a series of medical mistakes. In her talk she discusses the importance and possibilities of transparency in medicine, especially after preventable errors. And how truth and compassion are essential for healing.
  15. Content Article
    Accident investigations should consider why human failures occurred. Finding the underlying (or latent, root) causes is the key to preventing similar accidents.
  16. Content Article
    A moving and challenging short film about the Bowen family following the tragic death of five year old Bethany during ‘routine’ surgery and subsequent sudden death of father Richard aged 31, following the trauma of his daughter’s death and the ‘torture’ of the inquest. 
  17. Content Article
    Which? magazine explores ways to keep people safe in their homes and outside by using electronic devices to alert others for assistance. Personal alarms allow people to call for assistance if they have an accident or a fall at home. They can help older and less abled people to feel safer at home, and to remain independent for longer. They can also offer peace of mind to family and friends.
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